Organization
ADVANCE REHABILITATION FOR KIDS OF GORDON COUNTY, INC
Active
Other names
Advance Rehab for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY M BARTON (OFFICE MANAGER)
(706) 624-3000
Entity
Organization
Contact information
Practice address
365 S INDUSTRIAL BLVD, CALHOUN, GA 30701-3075
(706) 624-3000
(706) 624-3001
Mailing address
365 S INDUSTRIAL BLVD, CALHOUN, GA 30701-3075
(706) 624-3000
(706) 624-3001
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
903001
BCBSGA
GA
Enumeration date
01/23/2006
Last updated
02/16/2011
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